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Comparison of different bone graft with arthroscopy-assisted arthrodesis for the treatment of traumatic arthritis of the subtalar joint

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Abstract

Aim of the study

To compare the clinical outcomes of traumatic arthritis of the subtalar joint treated by arthroscopy-assisted arthrodesis with autologous bone graft, allogenous bone graft, artifical bone graft, and no bone graft .

Methods

Sixty-two patients (64 ft) with traumatic arthritis of subtalar joint were randomly divided into four groups. The cases treated with arthroscopy-assisted arthrodesis were analyzed retrospectively. The mean follow-up time was about 22 months (18–28 months) in each group. Clinical outcomes were assessed by the American Orthopaedic Foot and Ankle Society (AOFAS) score, Visual Analog Scale (VAS), and radiographic examination. The post-operative complications in each group were recorded respectively.

Results

All operations were successful, without incision complications. The subtalar joint obtained full osseous fusion in each group. The average time of osseous fusion was about 12 weeks. There was no significant difference in the fusion time with each group (P = 0.991). The AOFAS and VAS scores in each group were improved significantly in the pre-operative vs post-operative evaluation (all P < 0.01). The average operation time in autologous bone graft group was 74.56 ± 11.45 min which significantly different from that of other groups(P < 0.01).

Conclusion

Similar clinical outcomes were achieved among each type of bone graft. Therefore, which types of bone graft or not may be not the most important for arthroscopy-assisted subtalar arthrodesis.

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Acknowledgments

Junming Wan and Liangle Liu contributed equally to this manuscript.

Funding

This research was supported by Zhejiang Provincial Natural Science Foundation of China under Grant No. LQ20H170001 and the National Nature Science Foundation of China, No. 81871792.

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Authors and Affiliations

  1. Department of joint surgery, The Seventh Affiliated Hospital, Sun Yet-sun University, No. 628 Zhenyuan road, Shenzhen, 518107, Guangdong, China

    Junming Wan

  2. Zhujiang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, China

    Junming Wan & Liangle Liu

  3. Department of joint surgery, Tongde hospital of Zhejiang province, Hangzhou, 310002, Zhejiang, China

    Junming Wan, Yuqing Zeng, Haiyong Ren & Shuliang Zhang

Authors
  1. Junming Wan
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  2. Liangle Liu
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  3. Yuqing Zeng
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Correspondence to Junming Wan or Shuliang Zhang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (the Institutional Review Board of Southern Medical University (No.XMSB-2018025) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Wan, J., Liu, L., Zeng, Y. et al. Comparison of different bone graft with arthroscopy-assisted arthrodesis for the treatment of traumatic arthritis of the subtalar joint. International Orthopaedics (SICOT) 44, 2719–2725 (2020). https://doi.org/10.1007/s00264-020-04834-0

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